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975 Savannah Rd ClTY OF EAGAN Permit No: ~ Date: 3830 Pllot Knob Road Meter No: 3 g -3 p•Z ~ Size: S ~~I ~ P.O. 8ox 21~~ Reader No: -D 3~T 9~ Dat~ leT/L - jf~ Eagan, MN 55121 Owner. ~=oliege Citv Const . SiteAddress: 975 Savan_~ah . L L'1 I:E::~cin~~t n St IV Plumber ~`~trr Plut~~ . Conn. Chg: S~7r~,ct r.~C~F~~a2S ~>1 Acct Dep: ? ~ ~ ' Permit Fee: 1 ~ .jF~t~eH 1 Surcharge: ~aglde'~d domply wRh tl~e Clt~r af Esgan Tr. Plant ~ - ~ . _ Ordinances. Meter. ~ M isc.: . 1 BY WATER SERVICE PERMIT CITY OF EAGAN ~ gEWER SERVICE PERMIT 3830 Pllot Kr~b Road 9759 P.O. Box 21+199 PERMIT NO.: Eagan,~11V 55121 DATE: 4-6r Zonin g~ College Citv Const No. of Unlts: Qwne~ Address: Site Address: SaVanna ~.°.oa ex gton q Plumber. Murr P um ir~b _ _ ::.I i~~r ~ • p I ayree to comply with the,~y4~i ~.~apan e-G~ta~dl~~e: 525 . OOpd Ordl~ances. ~ 15 . OOpd ~~~:'~T'~4~,~~- ~ lO.Ot~pd ~~u~I~~~e~iiFe~ ;!50 d ~ Surct~er9e~ ~ ` ' i Date of Insp.: To'fal:~~~~ ~ `X ~ ` ' Insp.: Date Paid: . . z;~ _ t,~ CITY OF EAGAN y 3830 Pilot Knob Raad, P.O. Box 21 •199, Eagsn, MN 55121 ' PHONE:454•8100 BUILDING PERMIT ReCeiRt~ To be used for ` Est. Value ' 6'~" '~t Date ,1 g . i - +.r~. - : Stte Addres~s ~ ~ " OFFICE USE ONLY i ~ ~ 't'~ ~ On Site Sewage , Occupa~cy Lot - BloCk Sec/Sub. MWCC System = Zoning Parcel No. On Site we~~ _ Type of Const City Water _ (ACtuan oc Name ~ J TX t~0P7S~`FZUC'L'i O~ (Allowable) W ~~.1 .r ~ O~ StOf168 ; Address - ' ` Length ` ~ City " Phone ` ~ " Depth ~ ~ ~ • S.F. Total ~ . p Namg Footprint S.F. - Address APPR~YALS FEES ~ City Phone Assessments _ Permit U ~ Water/Sewer _ Surcharge y~ W Nsme Police _ Plan Review W _ ~ Address Fire _ SAC, City Engc _ SAC, MWCC ~W City Phone Planner _ WaterConn. Council _ Water Meter 1 hereby acknowledge that I have read this applic~tion and state B~dg. Off. _ Road Unit thettheinformationiscorcectandagreetocomplywithallappliCable A~ - TreetmeMP1 State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks CopleB Signature of Permittee ~ J TOTA4 :~..y _,,~,JC, ::~,.,T,.. A Building Permit is issued to: ~ on the express condition that a{{ work ahall be done in accordance with a11 appiicable State of Minnesota Statutes and City of Eagan Ordinancea Buflding Offlcial , • Permit No. Parmit Holder Dsta Teisphons ~k Pl~mbing ~'1.-> `I C~ j H.V.AC. ; J - - ~ < ; ~ ~ I~~"~, % j ? E~ectric 7Cj(..7'.tf:~. . . , ~ ~7 y~ oa ~7~~1.:-~~Y...i.-,i_- ~_-f~,. l Softener inspection Date Insp. Commants Footings I ~ Faatings II Foundation Framing ~ Roofing Rough Plbg. ~ Rough Htg. ~ r~ Isul. 5 p ~ Fireplace Final Htg. ~ P~ Final Plbg. ' ~ ~ Bldg. Final Cert Occ. ~ Temp. LP Deck Ftg. Deck F?mg. Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob R~ad Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ~ r. ~ APPLICANT: ' i,'vANNAIf RD r ~ ti+. , i:~~ I i~i ~ i~it t~~li':I'I I 1 II I. r ~ ~.,,1 PERIIAIT SUBTYPE: TYPE OF WORK: , . ~ ir i~; ~ , ; , , • . ,,,,,ii ! ri ~ ~ ri,, i I ~ L.~ J PermR No. PermM MoldK Date Te~ephon~ A ELECTRIC ~ y(f~ ~ Q ~ PLUMBINa HVAC Inspsctlon Dab Insp. Comments F001TFVGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FlREPLACE /6 ~ FlREPLACE _/5 . AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLD(3 FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' r~ 3830 Pilot Knob Road Permit Number: ~~~'r Eagan, Minnesota 55123 Date Issued: ' (612} 681-4675 SITE ADDRESS: , , , ; ~ r ; APPLICANT: . ~'„rirl,~,~ k~~ i i ~ I I ~ , , ~ ;j c ) . ~ . .4i PERMIT SUBTYPE: TYPE OF WORK: , ra ~ ~ i . . ~ , ~ i r, , ~ ~ . - ~ - Pere,n No. Psrn,H Noa.. ~ate releplwne # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapectlon Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. ~ ~9~ Isul. F?eplaoe Fnel Htg. Orsat Tesi Final Pibg. PIDg. Inspecta - Notily Plum6er Const. Meter EngrJPtan Bldg. Final ~ed` Ftg' L ~ 3 W~? Pr. Disp. GOLD COPY PERMIT RELEASE FORM PERMIT ~ ~ ~ ~ annxESS ~°7.~ s.,4 v~9 /V ~9`~ PIQCED UP BY ~ ~ ~ 1 ~ ~ ~ S ~ ~ i .N Permit No: s F,~-~'': Date: J nob Road hAeter Na: Size: ~1199 x Reader No: Dat~ ! , MN 55121 Owner. ~='--~'=he City Const. SiteAddress: Savannah Foa~ L3 :'1 Lexisston Sv Tt7 Plumber. "~-~rr Pltsmbinr Conn. Chg: ~ • Q~~~ 2oning: ~'1 Acct. Dep: 1' •~f No. of Units: ~ Permit Fee: 1 . Surcharge: • 5~pd I agree to comply wlth the Citr of Eagan Tr. Plant 1~~• d~~ Ordinancea. Meter. 57 Misc.: By INATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 9759 P.O. Box 21199 PERMIT NO.: 4- 6-~°7 Eagan, MN 55121 DATE: Zoning: ' r1 No. of Units: I Owner. ~olle~e City Conat . Address: ~ p nl T,exi~ttor Sq IV SiteAddress: ~~~~~~Arl Qad1~ ~ Plumber. ~lumbing ~ I9 ~-87 71686 I00 . Oup.: I a~ree lo comply wlth tl~s Gly of Eaqan Connection Charge: 525. 04g~_ Ordinances. Account Deposit: • Qb~ Permit Fee: 14.40pd Surcharge: - S~As~ gy Misc. Chargas: Date of Insp.: Total: ~~p.; Date Paid: CASH RECEIPT , CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ • DATE 19 Receiveo FROM AMOUNT $ I & DOLLAR/ too ~ CASH ~ CHECK FOR ~ PUND COOE AMOUNT Thank You BY White-Payera Copy Yellow-Posting CopY Pink-File Copy CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE f 9 ' RECEIV ED , ~ FROM AMOUNT $ (k ~OLLARf ~oo ? CASH ? CHECK ~ ~ - Fow i ~ ~ ~ ~ ~ ~ = / \ f _ ~ ~ -q - l ~ l ~ -t---- . . FUND CODH AMOUNT~ . Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT N0. i"~'''c;.~,_ ~r ~ , : «_,,s--~t~~ ~ T ~ _.=-ir . :.i ~ ^ 01-3210 Bldg. permit - 01-3422 Plan Check ~ 01-3445 Surch./Adm. 01-3446 SAC/Adm. ~ O1-Z155 Surcharge 17-3$50 Road i3nit ~'c ~ ~ « 20-2275 SAC ) 20-38b5 Water Conn. ~ 20-386$ Water Trmt. ~ 'c 20-3716 Water Meter ~ 7 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ~ < - - 11-3855 Park Ded. i TOTAL ~ ~ 213 ~ L ~ OFFlC USE O LV This repu<st void IB monfis fiam wlidafion doh printed in this boR. /0~3~75' S/935~v PLEASE PRINT OR TYPE ~~Q ~ Reqoest Dale Rough-in impetlion reqoired2 Yes ~ No Inspecnon Otherihan Raugh-In: ~ ReodY Now Will Call ~-J- (Yo~ muat coll tha inapaclor+Ai reody) ~ok Ready: I,,~ licensed conhodor Q owner hereby request inspedion of fhe above elecfricol work al: Jab Addresa (Slreel, Bax or Rouk No.~ G1y ~ Zip Code 7 UGtJ'2 ?i Gi.Lt Secnon No. Townshlp Name or No. Ronge No. Firc No. Co~nry Ocwpam ~ Phone No. re ~ u~ Power Sopplier Pddress Electdml Commeor (Compa~ry Name~ Convoaor Li«nse No Maekr Lic No. (Planl Eletl. Only~ I ~1 CP~0~~40~0 ~~~~~~da,=«o~,~~,o,~,~P~~~;~~~.b~~o~o~, N 5 10~ Z~( a ee~ 5~-. I Aulliorized5'gnoNro~Co cbrorOwnerPadomi gl bllaxonl PhoneNo. 2r 1~ Z - Z~.~ EB-OOOOlA-106,`95~ Q ~ STATEB NDCOVY-SEEINSTRUCTIO BACKOFYE1lOWCOPY IIiI II I II I(~III RE~UEST FOR ELECTRICAL INSPECTION ~j~'~ I I I Minnesota State Board of Electriciry s- 1821 Universiry Ave., Rm. S-128, St. Paul, MN 55104 s 0 2 L 3 9 6 2 4~ P h w, a s a z- o s o o y ( p Home ~uplez Apt. Bldg. Other: /Q a'13 9~~" New Addn Commercial Ind~sfrial Fartn Remod Re air Air Cand. Htg. Equip. Water Hir. Load Mgmt. Ofher: D er Ran e Elec Heat Tem .$ervice "X" above the work covered by this requesi. Enter remarks in this space and on Ihe 6ack of the white copy only. Calculafe Inspxtion Fee - 7his Inspection Request will noi be accepfed withou~ the correct fee: Olher Fee # $ervice Enhance $¢e Fee # Circuifs/Feeders Fee Mo6ile Home Pork $tall 0 to 200 Amps 0 fo 100 Amps Sheet Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generotor INSPECTON'9USEONLY ~ TOTAL $ign/Oufline Lig. Xfmr. ~ Alarm/Remote Conhol Swimming Pool i h~mb mn~ ~hai i ecled the elecficol inslolbNon dancn6ed herein an Ihe doros slakd Irrigation Boom Rwgh-In ~ Oore $pecial Inspecfion ~ F~nal Dare G C Invesiigative Fee ~ THIS INSTALLATtON MAY BE ORDERED DISCONNECTED IF N COMPLETED WITHIN 18 MONTHS. - CITY OF EAGAN NQ 13 3 6 2 d830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHON E: 454-8100 A/ BUILDING PERMIT Raceipt# ~~~e Tobeusedfor SF DWG/GAR Est.Value $61,000 Date ~RCH 18 ,~g 87 SiteAddress 975 SAVANNAH RD OFFICEUSEONLY Lot 3 Block 1 Sec/Sub. LEXINGTON OnSitesewage Occupancy R3 SQUARE TH MWCC System Zoning R 1 Parcel No. On Site well 7ype ot Const Ciry Water X (ACtual) V : Name COLLEGE CITY CONSTRUCTION (Allowable) V i P.O. BOX 309 #o~stories Address Length 40 o ~~~y NORTHFIELL7phone SD7/645-6648 Depth . S.F. Total Q Footprint S.F. ,o Name SAME ~a Address APPROVALS FEES ~ City Phone qssessments Perm~t $ 367.00 watenSewer _ Surcharge 30.50 W w Name Police _ Plan Review _~~T. 50 i~ Address Fire _ SAC, Ciry Q ~ Engc _ SAC,MWCC -~~~~Q aW City Phone Planner _ WaterConn. ~~,Q Councll _ WalerMeter ~~n,Q Bldg. OH. Road Unit ~ n r~ n 1 hereby acknowledge that I ~ave ead~applicetion and stete - thattheinformationiscortecten greet c p. wrthallapplicable AP~ - TreatmentPt ~~QQ State of Minnesota Statutes Ciry Ea an rdinances. variance _ Parks 1 ~ Copies Signature of Permitte 707AL $2F28-3-~00 A Building Permit is issued to: OLLEGE CITY CONSTRUCTION on the expresa condition that all work shall be done in accordance with all ap able State of Mi e_ p/i sQta Statutes and City af Eagan Ordinances Building Oflicial / s `~-SS3 ~ 13 RESIDENTIAL BUILDING PERMIT APPLICATION Q CITY OF EAGAN U~/ 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 New Construetbn NeauUemente pemodeVAeoalr Heauiremente • 3 rep~tered sile sunreys showing sq. ft. of bt, sq. k. ot house; antl all rooted areas • 2 copies of plan (20%maximumbtcoveragaalbwed) . isetofEnergyCakulatlonsforheatedadditbns • 2 copies of plen s~owing Geam 8 wtidow slzeS P~red found tlesign, etc.) • 1 stte Survey for a~erior eddttions & decks • 1 set ol Energy Ceiculetions . Indkete tl Iwme served by septk system for atlAitions • 3 copies of Tree Preservatqn Plan'rf lot platted after 7/1/93 • Rhn,bisl Detail OpGOns selectlon sheet roldgs w~h 3 or less un~s) DATE ~"J VALUATION y - SITE ADDRESS ~"S Sa~~ ~ MULTI-FAMILY BLDG _Y ~N TYPE OF WORK ~ FIREPLACE(S) ~Q _ 1_ 2 APPLICANT C~-~-.`~~V?~.~s1ov~.~.~>~.~cS; STREETADDRESS 2~189 ~e,_C~- _ Sv~~- ~ CITY ~-~LII-~ y~ATEm~P~~. TELEPHONE # l~l-fi7~-c7.(~~CELL PHONE # FAX # bSl-~-~~~ -~Z-(~ PROPERTYOWNER TELEPHONE# b`S1-k~P~'~~~Z COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672 submission type) • Residential Ventilatian Category 1 Wotksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor. _ Phone # _ Plumbing system includes: _ Water Softener Lawn Spiinkler Fee: $90.00 Water Heater ~ No. of R.I. Ba[hs _ No. of Baths Mechanical Conhactor. Phone ~ Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System ~ ~ ^ ~ ~ nn ~ t~ U SewedWafer Conhactor: Phone # 3 C002 - I hereby acknowledge that I have read this application, state that the information i rrect, and agree to mply with all applicable State of Minnesota Statutes and City of Eagan Ordinan Signafure of A II n ~ OFFICE USE ONLY Certificatas of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex O 13 1&plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 F~ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? O5 03plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex PI~Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demotish (Bldg)' ? 43 Reroof O 46 Windows/Doors ? 34 Replacement •Demolkion (Entire Bldg only) - Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bld~ _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved Byv___________________~Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storege S&W Perrnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ' CITY USE ONLY ~ 3 a 9 7a L ~ BL RECEIPT SUBO. /-~P Yl ~ 1.10i V '7 ~ RECEIPT DATE: 3~ PERMIT # ~ " 8000 f'LUM$INfi ~P~fiMTl' (ii~.SIDENTIAL) crrYoF ensnx s9so eaor ~voe Rn ~4&AN,1Nft 55l E4 asi~a~-~s~s Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 7 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ l.aund tra 3.00 x = $ Lavato 3.OD x = $ Se tic S stem newrreturnisned • re uires mPC ue. 75.00 x = $ S8 tIC S Stertl abandonment 30.00 X = $ RpZ new installatloNre aidrebuild 30.00 x = $ ~ Rou h o enin 1.50 x = $ Shower 3.00 x = ~ ~ Under rounds rinkler ifdweuin ~sunderconswction 3.00 x = $ Under round s rinkler if existlng dwelling 30.00 x = $ Water closet 3.00 x = $ ~ Waterheater 3.00 x = $ W ater soRener If dwelling under constructio~ 5.00 x = $ W ater softener if exlsting dwellin 30.00 x = $ Waterturnaround 30.00 x _ $ State Surchar e 50 $ .50 S 30•SO Total Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have reatl this applicatlon, state that Ne information is correct. and agree to comply wiN all applicable Ciry of Eagan ordinances. I[ is the appliwnt's responsibiliry to notlfy the properry awner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its nortnal operaUOnal and maintenance activities lo the facilities consWCted under Nis ertnit within City propertylright-ot-way/easement. SITE ADDRESS: GEVING, MARK OWNER NAME: 975 SAVANNAH ROAD TELEPHONE EAGAN, MN 55123 (AREA CO~E) (651)688-7732 INSTALLER NA TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE: Z~P~ DEA VENTGO/APPLIANCE INBTALL[Fy"- ~~~6~y_ (892) b27-4053 , 280E ~AkFIELD AVE. SOI~TH SIGNATU OF PERMITTEE MIHNEAPOl.18, MN 654oe _ _ . PERMIT C S ~ ~f Y/ 3 CITYrOF EAGAN ~ ~ 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: SITE ADDRESS: , . . r~~. . . , , ° i DESCRIPTION: , . :i c, ~ ~ ~i~. ' i~ ~ ~ . . , c ; . ; ~ y` , , _ . . . . . • . . ~ ~ , ~ • i,~. ..i-. ~ . ~ . , . . _ REMARKS: FEE SUMMARY: c~ , ~rr~lt,;l-r~~ . ± _ , . - CONTRACTOR: OWNER: t L J ~LIC~~f/PERMITEE SI UR~ -~S U O~Q :~GNAT IU 7F~C- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ , ,,,..,,~r.., . _ . , ~ PERMIT SUBTYPE: TYPE OF WORK: c ~ . . „ ~ ~ - REACTIVATE. _ CITY OF EAGAN PER?4IT ~ C'~~[~~MI~~ 1993 BUILDING PERMIT APPLICATION * PR 19 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / 1{~ / 93 Yaluation of work I S~ba,b° Site Address: 97~ Sa~GN~~~ ~~I ~ SiREET SU1TE t Tenant Name: (commercial only) IAT BIACK ~ SIIBD. ~e~'n9 ah ~voi~ P.Z.D. N ' f ~ d~ .e Descri tion of work: -c K The applicant is: Owner O Contractor O Other toec«;be> Name ~ ~f~ C a Phone ~~/S~-/97~. Property ~~sT ?~R~T work aa~ 3bb3 Owner Address q`7 5" Sk,,a „r ~ P~ STREET iTE / City ~~so~ State M N Z9p ~S~l~'~ Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engtneer Name Registration k Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY , w BUILQING PERMIT TYPE ~ ~ ` .u ` ~ - O Oi Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16-~~emen# Fin~j„sh ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Poo1 ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. L7 05 Sf Misc. ~ 10 Multi. Add'1. ~,15 Ueck ? 20 Public Facllity ~ 21 Miscellaneous WORK TYPE ~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair O B6 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ~ 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq.,ft.. Fire Sprinkler ~ length ~ On-site well Census Code Depth On-site sewage SAC Code APPROVALS ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' O Site Footing ? Framing ? Insulation ? Wallboard ~ Final ? Draintile ? Fireplace Permit Fee , ~ va~~t;a,: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ~ r,,,~-(R~-L`AND C0. SITE PLAN FOR~ . SURVEYING COLLEGE CITY SERVICES CONSTRUCTION 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 \ ; ~ \ ua"~ ~ ~ ~ ~ r \ ~S gS~ ,`~'S0 ~\k~~ \.~O ~O~' h SCALENI" = 30' o~h°o ~p'a ~o- ~ ~ . ~p~~i'\l.~l'~~; ~ ~ ~ u~'y / ~s ~ ,5 ~ \ ~Y~ Hou,sE ,~s=i / GARAGE A s~~ ?p, i1.0 20- ~Y~ ~ ~ ~ C~\ i ~ ~ i 1~E / °oo° 'rT ~o ~ ~~~~~~s~Z \~,~i'~ X R. '~~2 ~4~o S ` ` b ~ ~D~ ~`5' ~'q ~SO ~s ~yL\ 0.~ ~o ~ °°f, u5"S ~ \ ~ Oq \ PROPERTY DESCRIPTION LOT 3 , BLOCK ~ , LEXINGTON SQUARE 4TH ADD. accordinq fo tha recorded plaf ihsreoi DAKOTA Cowrty, Minnesoto LEGEND o DENOTES IRON MONUI~NT PROPOSED GARAGE FLOOR ELEVATION= //7~0 o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION loo`o DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION ELEVATION DENOTES PROPOSED SP07 ELEVATION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH ~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS I herehy cerfffy that this survey,plon or rspart wcs preparod py me or under my tin ~ s..D direct supervision a~d that 1 om a duly 8radley J. S eefson, Mn. Req. No. 15235 ; Reqistered Land Surveyor undsr ths , . Laws of the State of Minnesoto. Date ~ 3~3~~"> s 0•~ 367•Utl+ 3U•5U+ 183•50+ 625•00+ 52~•00+ 67•00+ 505•OUr ~180•OU* Z~2S3•Olix 1 , ` f 3 3 2~ ~ ~ 198~ HQILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I~iCLIIDE 2 SEfS OF PLANS~ 3 CERTIFIC9SFS OF SOHVBY~ 1 SBT OF ENERGY C9LCOLAYIOHS NOTE: ADDRESSES FOR COENEH LOYS - COHTRACTOR/HOMEOWNER MOST DESIGHAYE WHICH ADDRESS IS DESIRED. NO CHANGES iTILL BE ALLOiiED ONCE BDILDING PERMIT IS ISSOfiD. MOLTIPLE DiIE[,LINGS - RFSIDENTI9L RENTAL OPITS FOR SALE 0?~'IYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - C~Cg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATZONS COML~RCZAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCULATIONS~ $2~000 LANDSCAPE BOND To Be Used For: 5ingle Family Valuation: 6~~~ Date: Detached-New Home Site Address 975 Savannah Rd OFFICB USE ONLY Lot 3 Bloek 1 On Site Sewage_ Occupancy ~ 3 MWCC System ? Zoning Parcel/Sub Lexington Sq 4th On Site Well ~ Type of Const City Water ? (Actual) ~ Owner Colleg~ City Construction (Allowable) Ik of Stories Address P.O. Box 309 Length ~ Depth City/Zip Code Northfield, 1vl~r 55o57 S.F. Total Phone 50~-645-6648 Footprint S.F. 6PPROYALS FEES Contraetor Same as Owner ' Assessments Permit Water/Sewer Surcharge ~ Address Police Plan Review ~-~3.~ Fire SAC, City I~. City/Zip Code Engr SAC, MWCC SZS Plahner Water Conn 52S. Phone Council Water Meter ~o"7. Bldg Off Road Unit ~S• Areh./Engr. Same as Owner APC Treatment P1 ~f3o. Varianee Parks Address Copies TOT9L City/Zip Code Phone ~k ~~v = ~~o ~c ~ ss~~,~ s.; , . Zo ~ 20 ~ ~1-~ x( 2~ 4~~ - ~o ~~o ~ ~ V~~,V~t~ V o~J, ~TRI-LAND C0. S~TE PLAN FoR~ SURVEYING COLLEGE CITY SERVICES CONSTRUCTION 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 \ ; \ u'~'~ : ~ ~a N O 'S0 Dy\o-¢~' . k" ~s° Soo., J' SCALE~ I" = 30' ~ ~°oo ~a~ ~ ~ ~ ua*8 ~ y, ~O~ j tl'1~.`H / ~ ~ \ ~ ~<< Hovs~ „gr~ / \ ,s GARAGE . .q 'b. ryo 2O' `ti~ ` 2o.m , ~ , ,~ti ; o° o ~r 4 .o T ~~~<i5'Z ~~o~ K '9~/~ 2F~ ~S \ ~zp ~ ~ -~i„5,2,9~ Fs ~d " s ~ ~ ~ °~.o ~i\ '9~ ~O \ PROPERTY DESCRIPTION LOT 3 , BLOCK ~ , LEXIN~TON SQUARE 4TH ADD. aecordiny to ihe recorded plat theraof DAKOTA county, Minnesrna LEGEND a DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=,LL7~~ ~ DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION /oo°o DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR t~--~~ ELE VATION E LE VATI ON DENOTES PROPOSED SPOT ELEVATlON ~ DENOTES DRAINAGE DIRECTION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hsreby certify thatffiis survey,plon or reporf was prepcred by me or under my ~ 0,r~ ~~`~O~!~ direct supervision and that I om a duly Bradiey J. S 9~son, Mn. Rep. No. 15235 o Reyistered Land Surveyar under the . l.aws oi the Stote of Minnesota. Date • 3~~~82 • . . ~ E%T~flIO(l. ENVEI.OPE A~ERAGE "U" C011PUiAT10N ~ COLUD'fBIA ~ OFIUER ~ a-Q~ _ , ' S1TE ADURESS ~ ~c~ ~ , COtITMCTDfi CoLL~GE CITY CoJ1sTxUCTioN DATE PIIONE (507) 645-66~t8 petermine working square footage of each. l. Total exposed wall area'...... 1725 sq, ft. x_, / p /yn.c~,~ • 2. 7otal roof/ceiling area y~_ sq. ft. x:~0~~ d~gl y~ ~ •Total exposed wall area above floor =_~-7 2.E• a. Total wall window area 1~11,l:~~`i b. Total door area ~ ~ , e. 7ota1 sllding glass door area • d. 1ota1 fireplace wall area ~ ~ e. Total Wall framing area (average lOX)...:........ I't'L.E:~_~. P. Total net wall area aGove floor :~~rl.•I!:~', g. Total r1m foisk area B 5.'~-+b . lotal~ ekposed foundatlon area = 85.37b tl I • h. Tbtal foundation window•area o ~ . . Toal net founda N on area abovG-grade '84,3 ~b ` Determine "U" value of each wall segment. ~ . . a. I<4-I,bb`l x ~~u~~ .3A-b = ~{9,017 ' , b. 3b. (~fo7 X , I'l-8 ~ b93 . ~ O 'x uUn ` a . . . , d. o x _ , ' ~ . e. (72 . SO ~ X "U" , 09 Z ~ I 5,B97 ~ f. ~291. ~-88 X u~n .,0~{-3 ¢ 55 ~3Z 9. C7 ~'J. J I ~O X uUn. ' a J. .7 ~ . h. d x M~„ ° ' . 1. SS.37b X~.~~, .07~ t b,~d-~1- 3 ...............................•.....70tat ° I ~ S.3R If ltem ~'3 1s tl~e same as, or less than .item R1. you have met tlie Intent of 54C 6006(cJ2. , , ~ . . ~ ~ • , . ~ Total..exposed roof/ceiling area = `~~O , ' 7otal skyli9ht area O k. 7ota1 roof/ceiling framing area (average lOx).., 4~; p • 1.. Total net :insulated roof/ceiling area..::....... gd ,~p ~ • Uetermine.`U" value for each roof/ceiling segment. , ~ . O ' X P~U R . . k. `lb x'°u,~' 17A- ] I~,~'o4 • . ~ . 1: 8 b 4., oa x~~~~~ , v Zz ~ 1~1.008 a 4.......:' ..........................lotal a ~ ~.'IlL . If total of B4 is the sa~e as. or less than :2. you have met the lntent of , StiC 6006(c)l. ~ ' Alternate Building Envelope Design To utilize the total envelope system method, the values establisfied by tl~e' s~un of ltems ~3 and i4 shal.l not be greater than the sum of items ;1 and 02. 1. +2. F . . . . . ---t-----. ' ' + Q• . a~ . ' , ' . . , , ' . ' • i . ~ • . . ~ 1~1~D vALUG nn~~ i ~ - 'I~II NDOW A . TYF'~ oF L~1 NDt~1N i. FZE.A . 6/8'~ INS~L GaA55 ~t B~f~ TiosiO Io4 "r2~LVA~µi, tw~Y ~ec na 4~~~tG -~NE \.VINDONJ Uui'!'S N~ s Z.B 1- tai N [a~rt1 V~,..N•~ oF ~R• - AeoJS qy0 /H4y 61 .tss~4Vfo .,A O 4 INC~ND~u~i 4~R f/LMS.~-- L~~°'11 s , ' ~ OOfAAL _ '~FOSTAG~ ~ . 1NOVW A~A: TyPE af ~~~~~oaa? : ~OUNraA7 w _ vF eun THE- vv~NOOW ~l~/~rsf~~IE. BLi../ TCSrGD FoR~R-' y~t+a~~THl~YAR~ Ai ~~s~i0 AY , ~ucwwalN4 mnr er Aa~iyNCU a~s~y'lC~r."!s) Vnu.c o< g..~ A~4 RILM> . + Foorwc~C ' ~ F~r^`•~ Uy: I LA55 W~+R A~~'p' ~YPi.O~ DooR: `JLIDIAI~y ~ ~ ~/g ~,~s„~~Gc... VA~-K TNLY Aic ~i ~-~DrfV `jL~0~~4 QLA59 000CtS NrY~ OtR'~ 7L.3T4R FO~,~R' NL o~,R•~a 2_0q ~~~rar. AD0~4 Ad0 M~y 6~ A3.i~~IH~A ^ V~S~Gr11Gi~f'l~ V ~l~ i1Lr'lS ~ FWT?4~-' uy~ . ~.~'ha 11 ' ~ DODR r?R~ A~ YYPe. o~ Dbort : _ -rH~w~A Tr~u poocZ UNiYS HAYG ~~t"+ r~°r[r' rouua ro NAVS s+N ,~N4 A,w a~~,.Mi, ~R•_NA~u? o~ ? BL_-..) - i /ad _ I / ~ • / Z S Fo~TAS'i r.. lJd~ . ~ TYP~ = 5~ec~A~s : . L~4T~.---------5KiP1Ler FaR1~n L•1 !~AUioq} . . . PERMIT ~ ~ ~q ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u z ~ o z N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 5 5 8 (612) 681-4675 Date Issued: 10 f 16 J95 SITE ADDRESS: 975 SAVANNAH R~ LOTc 3 BLOCK: 1 LEXINGTON SQUARE 47H P.I.N.: 10-45078-030-01 DESCRIPTION: , (OA5) @f#Yldin~g_Permit Type FIftEPLACE ~ui~ding Wiark Type NEW \ . i'~ f r' ~ _ r_,.; , ri . _ 1 _~~i~, V p~ • ~ I~ ~ ~ ~ ~ ~ ~ ~ . . ~ . ' REMARKS: FEE SUMMARY: Base Fee $25.00 Surchiarge .50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. ~zr.. OWNER: FIRESIDE CQRNER INC 16331642 0001068 VEDQUAM SCOTT 27@0 N FAIRVIEW AVE 975 SAVANNAH RD ROSEVILLE MN 55113 EAGAN MN 55122 (612) 683-10q2 (612)452-1976 Z harehy ~oknawiedge that I have read this application ancl state that tY~e informatton is corrsct and agre~ ta comply with all applicable 5tat~ csf Mn: ~tatutes and Gi~y of Eagan 4rdinances. ~ ~ ~lcu,r R oa~~~.lm.,~- APPLICANTlPERMITEE SIGNATURE ' ISSUED BY SIG TURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: e u r ~ o z N ~ 3830 Pilot Knob Road Permit Number: 0 2 6 5 5 8 Eagan, Minnesota 55122-1897 Date Issued: 10 /16 J95 (612) 681-4675 SITEADDRESS:p'I.N.` 10-45m~s-mse-es APPLICANT: LOT: 3 BLOCK: 1 975 SAVANNAN RD FIRESIDE CORNER INC LEXINGTON SQUARE 4TH (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRSPTION (GAS) . . ROUGH-IN FINflL ~ ~ ~ _ _ ~ ~ ~ ~ ~ CITY OF EAGAN ~ ~~O ~ 3830 PILOT KNOB RD - 55122 1895 FIREPLACE PERMIT APPLICATION 681 ~675 DATE: ~ / ~ DESCRIPTION OF WORK: INSTALL t1Eb( FIREPLACE: _ WOOD BURNING j~AS _ INSTALL GA3 LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: ~ 1 x~`"~ Y~~r STREET ADDRESS: ~~J~ a ~p _ LOT ~ BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTO I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. PROPER7Y Name: V~~ Q~~ WI ~TT~S/~/~Q Phone ~sZ ~ l~7~ owNeR Signature: Street Address~~5~ ~ ~ ~ ~ City: N State: Yt'L~ Z;p:sS~/ ~'Z ,d-irc-c cs}!~ F~REPU?CE Company:~ v /a~~ ~ ` Phone ~ -z5~6 J INSTALLER ~ Signature: Street dress:z7oa ~~~i/Jcsw~ ~icense lb ~ ~ City: .D v~ L,L.C.,s State: ~ Zip•~~ GAS LINE Company: Phone INSTALLER Name: Signature: Street Address~ City: State: Zip: ~X~. ~ ~~A ~ OFFICE USE ONLY ~ BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New o 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Cerneus Vode. SAC Code REMARKS: Chimneylflue must be inspected before concealing. FEES PermR Fee Surcharge Other Copies Total: ****#**********#******f******#*****# W CITY OF EAGAiV * ° ~ * ~ *f APPROVAL OF PERi~IIT. * ~ APPLICATION FOR PERMIT * * INSPDCPION OF SES~R ADID/~2 FF~~t *t * TT~,+rAT.TATTONS WII.L IdOrP BE SQIFD- * SEWER AND/OR WATER CONNECTION P~T * _ . ~ .~PxovID. ~ * ~ µ ~ ~ * ; . * »**#*****#*****k***..*,~**~***~~****.* P e se Print) ~~1) PROPERTY ADDRESS: LEGAL DESCRIPTZON: " Lot Block Subdivision or Tax Parcel ID ) I£ E~QSTSNG STRCC.`lS7RE, DATE OF ORIGINAL BC~ILDING PERMIT ISSL'ANCE: . - ~ (I•bn YearJ - YRFSENf ZONING/PROPOSID L'SE: q COI`~RCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY ' IbIDI.'STRIAL T ~ ? Q R-2 DLPLEX (2kv C~nits) ~ INSTIIL;TIO[S4L/GOVERNMETTp ~ R-3 7nW[~iOLSE (Three + Units) ( C~nits) . R-4 APARTN~]T/COI~IDUMINIUNl ( Units) 2) ~ NF1P1E: ~ ADDRFSS: CITY, STATE, ZIP: PHONE: • 3) ~ u ~ For City Ose _ - Plumbers License: ~ ADDRFSS: / Active A F~cpired ; ciz'st, sx.~~, zir: Q Not recorded PHONE: MASTII2 LI SE# S~'.~7o~/Y~ ~al q) ~~r •:u ~.rni~: - . NI~.[~JE: ' ADDRESS: . CITY, STATE, ZIP: PHONE: u v ~ ~ r • : ~ • a~ - ~CONNF.CTION ~ CITY SE[~R ~CON[~ID[,TION 1q CITY WATER ~ pTf~R . 7' 6~ " ' ~ PLEASE HOLD APPROVID PERNIIT FC)R PICK-[JP BY OI~ OF ABOVE L D~..._ P E MAII, AppROVID p T TO 1, 2, 3, 4, APlJVE . (Circle one) ' 7) e r~ u• - ~ • • • 7• ~ .i~ ~ ~ • • ~ ~ ~ r • ~ - a ia~ r• • a~• ~ ~ • • a• • ~ e w~:.~_ • ~a. ~ rr • na~ ~ ~ ~ ~ ~ ~ ~ . . FOR CITY USE ONLY PERMIT # ISSOED ~ Pd w/Bldg. Permit FEES: $ $ S J SEWER PERMIT (INCLUDE SURCHARGE) $ $ S~ WATER PERMIT (INCLLDE SL'RCHARGE) $ ~'~~C'O $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC~DE CORPORATION STOP) $ $ SEWER TAP S $ /5^i(j ~ ACCOLNT DEPOSIT - SEWER $ $ /,5~~ ~ ACCOONT DEPOSIT - WATER s 5"a 5'~ c ~ s wAc s ~a ~ ~o o s sAc $ S TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRL~NK WATER ~~C~~O U $ WATER TREATMENT PLANT SLRCAARGE $ $ OTHER: $ I. LI 7 r 0 O $ (i D TOTAL ~7/~ % r7~ I ~ ~ RECEIPT RECEIPT DOES LTILITY CCiNNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~~-Tti~t, TITLE: . DATE: y ~j d 7 1--Q ~ ~5~ zoo6 RESIDENTIAL BUILDING rExNUT nrri,icaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Reauiremen4s RemodeViteoair Reauirements Offce Use OnN 3 registe2d site surveys showing sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan shaxing fooWgs, beams, pists Cert of Survey Recd ' `'Y _ N (20°~ maximum lot coverage allowed) 1 set of Enefgy Calculetiais for healed additions Tree Pras Plan Recd =Y _ N. 2 copws of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Trea P2s Required _ Y_ N lsetofEne~gyCalalations Add'Aon-iMfcete'rfonsifeseptitsystem Or~siteSepUC~~~.System _Y _N 3 copies of Tree Preservation Plan'rf lot platted after 7M193 Rim Jolst Detail Optlons seledion shcet (buildings wBh 3 or less unBs) Minnegasco mechanipl venlllation fortn . ~ Date / ~ / ~ Construction Cost [ O~ ~ / ~ Site Address S f~-~/cc.a~ L. ~7~/ UniUSte # Description of Work S ~uL ~ Multi-Family Bldg _ Y ~ N Fireplace(s) ~C 0 _ 1 _ 2 Property Owner ~l~u e- ~ ~ L~-+~+ Telephone # ((y S-/ ) 9 J ~/-C~o S~ ~ Contractor l~ ~j~l~ic~-, /ls'o;1'G~J e. Address ~ Y ~(v ~i~1¢O~-.~?c+-+~r~ ~ City State l~I~t/ Zip S~'S~/ a d- Telephone S%) v~ 7$`~/~O ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted ' Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Pemut and acknowledge that the infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /L~1 G~~~r~ ~ ~ AppiicanYs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ~ Sub Tvaes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 12 12-plex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout 4o applicant DBSC~Ip11011: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Use BLUE or BLACK Ink -I For Office Use 4,1i" Eaall Permt#: I(t �/l (`uCity of 3 Permit Fee: 3830 Pilot Knob Road f 7 Eagan MN 55122 Date Received: /0 'elf' /7 Phone: (651) 675-5675 '`"'' I LOI I/ Fax: (651 - 94 L Staff: I J 02017 SIDEN�TIA�L PLUMBING PERMIT APPLICATION Date: , 1 I Site Address: ^ [ T J/��J V"�' .1 %` /. W► ���./ c Tenant: i t Suite#: "ti!a F•t;). t;:r ,..'4,,,,t2-,ilr>, r n, 2 ' �' Name: : L.A A. "I._�r Phone:661 141 CJ t 6( ` isle © t: 1 i �� � rt4,i t =t -,..4;i4;- ..-144-�` 1) Address/City/Zip: fjv,♦....i .1 I /....t:. Li J -Ar- ,i, A sc • . ,r,,, ,0%.,-,_ tr; rr ,,,,,46,110,4,-..e.,,, 41 l i t"; ' °`"` "tr , Name: V U 1\� 41 I� ( WL� �.n License#: t, t r f j,4 [. t` t" Address: V city: l0(ahQ O ,,,,,,Nr( Ora. . / 1 i'4f.E-ti � r !!r ° t t�� £��,1i��,f��(`{t State: Zip: � Phone: s ,,,ii. f t f£t i '• � ��yY\ (Y\ •I 1.y/��///� ���ppp (4 -l��i' il�/t �_0...1 f `-� �rtoo- ,eI+1{[ 7At�•3+J� S BVI' 1'R I ' I`l �J'`i r`� LA.., • Q �L'. .- iti' t,. Contact: Email: ti� „, 1,,,„,t ip Art[t t 5.. A�t tt ,r:t � ., j $ ,, i£ _New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. %roil c.9 R ,A ,- i�ft tk l ; hr t ,_` ,: Description of work: 0, t atlrfr,} , Fbtp4v ` RESIDENTIAL 4 t3 'i{� i p sr•70 to ' L�iu> ivAl _Water Heater IA. 1{ t z e• Water Softener �, ,,t i'� _Lawn Irrigation(—RPZ/_PVB) Fa mtlit t ,, ft r, ,° •r; —Add Plumbing Fixtures( Main/_Lower Level) ., ,t${,01, _ £4r�y Septic System :041314: ' y �§4."t"g['/ +3fr New Water Turnaround ;LiFALM: N 30 4 , r -dt;{ j Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) bOP TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in Y a cordance ith the appr•v plr,in th ase of wo k which requires a review and approval of plans, /x \ 2. V �r Xfri/k it- V , Applicant's ppliicant's Printed $ Name ,tt Applicant's pplicant's,Signature V :.40 * ,= �ylf ' syi14: ' f17.7-f- yi. i 1.:f{ :rs ia ; 4 RWed; , > �3%7' � f t FC-2Q ,- .S �, i�littitattirtp; 3 k , 47'k° m � er4 ,e 'r �f ' r�a' rI'V11:° 4 r� - ' � � �t � �"4x�iSA' g%;it g �,,:,, !f,11 " 7slL:,..1; ifti yr+t 'r' {:?t r i{ ��e• fe° Ins•e ° , • c� e��Groupd ,f ..Roruhn ,,AIr'Re ' , •e- , �1�� � .F '.�I :::•':!1'',1:-..',•.'3 ,y w >.'n [ ,, �4L '�44 . : ' '?.4:1)u :7 ' 'i y'�=114i t "arW �f ;' {?ii t "%; 7,L?•itP .,,,t, • ,. 4 •_, j N .� i �t '. , rJii ,i `, ,j r) , �p,� ' h 0--1 tY;- ;v ttf; F i �s , `i3a rra texS' iAe} rfIZ@ •,,AlitW a�IQ ead r .i,aat!,� a1107.§;te . t RE Ej. !'� t , t, ,q